Individual
JACQUELYN RENEE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1713
(404) 257-0814
Mailing address
1240 W PEACHTREE ST NW APT 1511, ATLANTA, GA 30309-4739
(832) 922-2469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003512
GA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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